Provider Demographics
NPI:1124757885
Name:CASTRO ALVAREZ, CHRISTIAN OMAR
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:OMAR
Last Name:CASTRO ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 46668
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9015
Mailing Address - Country:US
Mailing Address - Phone:787-370-4249
Mailing Address - Fax:
Practice Address - Street 1:BO BAYAMONCITO SEC LAS CRUCES CARR 787 KM 5.6
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-370-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician